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LETTER TO THE EDITOR
Year : 2014  |  Volume : 7  |  Issue : 5  |  Page : 690  

Histoid leprosy in type II reaction with neural abscess: Treated with ulnar nerve decompression and anterior transposition


Department of Dermatology, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India

Date of Web Publication10-Sep-2014

Correspondence Address:
Milind A Patvekar
B-204, QueensTown Society, Udyog Nagar, Opp. Lokmanya Hospital, Chinchwad, Pune - 411 033, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.140506

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How to cite this article:
Patvekar MA, Dev S. Histoid leprosy in type II reaction with neural abscess: Treated with ulnar nerve decompression and anterior transposition. Med J DY Patil Univ 2014;7:690

How to cite this URL:
Patvekar MA, Dev S. Histoid leprosy in type II reaction with neural abscess: Treated with ulnar nerve decompression and anterior transposition. Med J DY Patil Univ [serial online] 2014 [cited 2024 Mar 28];7:690. Available from: https://journals.lww.com/mjdy/pages/default.aspx/text.asp?2014/7/5/690/140506

Sir,

We agree with the known fact that histoid leprosy is characteristically highly bacilleferous. [1] In the discussion, the text that states absence of acid fast bacilli on split skin smear is in reference to the differentials given for histoid leprosy (xanthomas, neurofibroma, dermatofibroma, reticulohistiocytosis, or cutaneous metastasis). [2]

The last sentence does not mention three types of therapies. It means initially giving a range of motion therapy with rifampicin 600 mg, ofloxacin 400 mg, minocycline 200 mg once, followed by multidrug therapy for at least 2 years or until smear negativity. [3]

Editor's note: The authors have repeated the phrase "range of motion therapy" in their reply. It appears to be a mnemonic for therapy with the drugs "Rifampicin, Ofloxacin and Minocycline." However, the phrase "range of motion therapy" is not mentioned in textbooks but finds place in a publication cited by the authors in the original communication. It appears that by repeated usage as a mnemonic it has crept in the published journal article. Such "non- standard phrases" should be avoided in scientific publications.

 
  References Top

1.Sehgal VN, Srivastava G. Histoid leprosy. Int J Dermatol 1985;24:286-92.  Back to cited text no. 1
    
2.Patvekar MA, Dev S, Rizvi A, Malhotra R. Histoid leprosy in type II reaction with neural abscess: Treated with ulnar nerve decompression and anterior transposition. Med J D Y Patil Univ 2014;7:392-5.  Back to cited text no. 2
    
3.Annigeri SR, Metgud SC, Patil JR. Lepromatous leprosy of histoid type. Indian J Med Microbiol 2007;25:70-1.  Back to cited text no. 3
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